Provider Demographics
NPI:1194592261
Name:POLARIS CARE LLC
Entity type:Organization
Organization Name:POLARIS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:NULLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-410-0991
Mailing Address - Street 1:1214 3RD ST NE OFC
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-4403
Mailing Address - Country:US
Mailing Address - Phone:651-348-9073
Mailing Address - Fax:
Practice Address - Street 1:1214 3RD ST NE OFC
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-4403
Practice Address - Country:US
Practice Address - Phone:651-410-0991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-07
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN41564OtherMDH